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ORANGE EKSTRAKLASA
Dołączył: 26 Paź 2010
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Wysłany: Pią 16:32, 18 Mar 2011 |
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Microwave treatment of clinical observation of 200 cases of chronic rhinitis
Rapid development of our department from 1992 to 1995 using the MTC operation of a 3 meter microwave treatment of chronic rhinitis and 200 down. The effect of l-bed observation satisfied the following clinical data reported in this group of 200 patients with chronic rhinitis down,[link widoczny dla zalogowanych], in which 64 cases of pure SUI rhinitis, hypertrophic rhinitis, 136 patients with 146 cases a male and 54 female patients. Age】 2 ~ 7l years. Course of 2 months to 30 years. 24 patients with unilateral lesions. Bilateral lesions l76 Dropping down a long-term 185 cases ineffective, inferior turbinate injection sclerotherapy ineffective in 9 down. Electrocautery surgery in 12 cases, 8 back after laser treatment, re-resection of the inferior turbinate nasal blockage rather than surgery, 6 cases of patients with systemic diseases including: diabetes, hypertension in 4 cases a 1 down, 2 cases of blood diseases, mental tense fear of surgery, 6 down. A disease include nose, nasal septum and hypertrophy of the bottom film revolves. Except under the nasal bones of hypertrophy and nasal septum deviation caused by congestion. Treatment: Use MTC3 Type Microwave surgical instrument. Frequency of 2450MHz, adjustable power 0 ~ LLOW, using the power of this group of 10 ~ 20W. Soaked cotton pad with 2 shops in tetracaine nasal full anesthesia. Depending on the patient decided on output power. Nasal endoscopy or before the nose contact with the probe under direct vision hypertrophic mucosal sites, each time point of treatment per patient was 3 seconds of a treatment time of about 15 seconds,[link widoczny dla zalogowanych], white mucous membrane treatment area, the edge clearly. No bleeding, smoke, charring and end crazy. Irritation, but no significant pain. Can be tolerated. Treatment at once. Efficacy assessment: significant To: Recovery of nasal ventilation, no mouth breathing. Headache, stretching and other accompanying symptoms disappeared. Findings were of inferior turbinate hypertrophy reduced to normal. Normal nasal structures can be seen effective: nasal airway improvement, occasional mouth breathing, with or alleviate symptoms of a nasal mucosa did not change significantly invalid: with the preoperative symptoms and check. Results 1 to 3 days after a severe irritation of the nose are blocked, discharge and sneezing, irritation, check the site attached to the majority of patients and the mucous layer of gray pseudomembranous secretions, pseudomembranous easy to fall off a no bleeding. Qing Ji nasal cavity, the nasal cavity to improve ventilation change spacious t t in 1 - 2 weeks is still a small amount of pseudomembranous formation Ding. 2 weeks after the film, revolves around the nose to normal color. Without leaving any trace of the treatment site after 2 months follow up 40 cases, effective in 38 cases (95),[link widoczny dla zalogowanych], a down due to allergy symptoms, Zaigong treatment of bilateral nasal septum Qiujia corresponding parts of a distribution is the ethmoid nerve , t to reduce postoperative symptoms after 2 weeks the symptoms return, but the other l side of the probe due to deviated nasal septum can not reach parts of the inferior turbinate. Only to ensure that the side of the nasal airway after L = year follow-up of 24 cases. Effective rate was 100 after 2 year follow-up 20 down, down markedly l4 (70). 2 cases (i0), not to teach in 4 (20). L 2 cases of attack on the second line of treatment of the tongue, l down-line treatment for a final third were improved nasal airway. 1 back on again, allergic rhinitis treatment is not effective. Discuss the microwave is an electromagnetic wave frequency is usually 300 ~ 300000MHz, wavelength l ~ tlm ~ lm a frequency commonly used in clinical medicine 2450MHz, treatment of heat within the principle role of the main application. 1988, Zhang Zhihong et al reported that microwave (20 - iO0mA) directly fresh pig living dogs stomach and gastric pathology for coagulation tests did not find a microwave damage and muscle layer of submucosal tissue. Many scholars believe that small doses of microwave heating to achieve tissue blood of psoriasis, and promote micro-circulation and anti-inflammatory analgesic effect. Treatment of chronic rhinitis, such as closure of many t, electrocautery, laser, freezing and surgical excision other advantages and disadvantages. The surgical instrument of microwave low price, easy to operate, accurate positioning can be controlled output, damage area is small, the treatment of pain is not obvious, the patient is easy to accept. This article was found 200 cases of postoperative bleeding, fools atrophy and nasal adhesions film sets, and disease: therefore, we believe that microwave treatment of chronic rhinitis is a simple way, especially for the frail elderly or those with systemic disease is inoperable a viable means. To ensure the operation is successful, must be strictly selected indications, in different age groups, different diseases have different use of power. Treatment of allergic rhinitis is not ideal (close your samples: 199505lg Revised: 199Boz14) Beijing Friendship Hospital ENT 'postcode 1000j0)
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